26 1-5 Flashcards

1
Q

List important sources of acids in the body.

A

Biggest source: CO2. Amino acids, fatty acids, lactic acids, acids of citric cycle, ketoacids

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2
Q

Four ways acids originate?

A
  1. Breakdown of phosphorus containing proteins releasing phosphoric acid into ECF
  2. Anaerobic respiration - lactic acid
  3. Fat metabolism - Ketone bodies
  4. Loading and transport of CO2 in the bloos HCO3- liberates H ions
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3
Q

List the three major chemical buffer systems

A

Bicarbonate buffer system, Phosphate buffer system, Protein buffer system

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4
Q

A chemical buffer is?

A

A system of one or more compounds that resist changes in pH when a strong acid or base is added.

This is done by binding to H+ when pH drops and releasing H+ when pH rises.

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5
Q

How does the bicarbonate buffer system resist pH changes. In what compartment?

A

Main and most important buffer of ECF (blood and interstitial fluid.)

Mixture of H2CO3 (carb acid) and NaHCO3 (sodium bicarbonate, a weak base).

When a strong acid is added, carbonic acid is mostly unchanged, but bicarbonate ions of the salt bind to excess H+ forming more carbonic acid.

When a strong base is added, the sodium bicarbonate remains relatively unaffected, but the carbonic acid dissociates donating more H+ to bind to excess hydroxide.

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6
Q

Stong acid added to bicarbonate buffer sys.

A

HCl + NaHCO3 – H2CO3 + NaCl

Strong acid + weak base = weak acid + salt

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7
Q

Strong base added to bicarbonate buffer sys.

A

NaOh + H2CO3 – NaHCO3 + H2O

strong base + weak acid = Weak base + water

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8
Q

What regulates the bicarbonate concentrations?

A

ECF - kidneys, Plasma - respiratory system

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9
Q

How does the Phosphate buffer system resist pH changes. In what compartment?

A

Urine and ICF.

Sodium dihydrogen is the weak acid, Monohydrogen is the weak base (operates like bicarb sys.)

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10
Q

How does the Protein buffer system resist pH changes. In what compartment?

A

Proteins in plasma and in cells.

Organic acids containing carboxyl groups can dissociate to release H+ or H+ can bind to an amino group if excess H+.

75% of buffering power of the body resides in cells/intracellular proteins.

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11
Q

Acids are _____________? Bases are ___________?

A

Proton donors, proton acceptors.

Acids dissociate from their H+. Bases tie up H+.

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12
Q

Lines of defense to maintain Acid-Base balance?

A
  1. Chemical buffers (act in seconds)
  2. Respiratory system (act in mins, 75% of capacity of acid/base balance)
  3. Kidney (act in hours)

Buffers can tie up acids-bases temporarily, lungs can dispose of the volatile acid, carbonic acid, by eliminating CO2, only the kidney can rid the body of other acids: phosphoric/uric/lactic/ketone.

Kidneys can also renew chem buffers used in reg H+ in ECF.

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13
Q

Describe the influence of the respiratory system on acid-base balance.

A

CO2 + H2O = H2CO3 = H+ + HCO3-.

If Pco2 rises, medullary chemoreceptors ↑ resp rate/depth.

In addition, any rise in plasma H+ excites resp ctr via peripheral chemoreceptors to ↑ resp rate/depth. (reactions to the left in the lungs, h+ turned into h2o)

When blood pH rises, the respiratory center is depressed aloowing accumulation of CO2 in the blood (pushes to the right).

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14
Q

Describe how the kidneys regulate hydrogen and bicarbonate ion concentrations in the blood.

A

Kidneys can directly excrete or reabsorb H+.

Kidneys can indirectly alter pH by changing the reabsorption or excretions of HCO3- (bicarbonate ions can be conserved from filtrate when depleted and their reabsorption is dependent on H+ secretion)

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15
Q

Most important renal mechanism for regulating balance

A

Conserving (reabsorbing) or generating HCO3- and excreting HCO3-.

Intercalated A cells of renal tubules can synthesize new bicarbonate.

When the body is in alkalosis, intercalated B cells excrete bicarbonate and reclaim H+.

Ammonium ions/weak acid can also be excreted replenishing the alkaline reserve.

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16
Q

Respiratory acidosis

A

↓ pH/↑Pco2 - results from shallow breathing or respiratory diseases.

17
Q

Respiratory alkalosis

A

CO2 is eliminated from the body faster than it is produced

18
Q

Metabolic acidosis

A

↓ blood pH and ↓ bicarbonate levels from loss of bicarbonate ions or too much alcohol

19
Q

Metabolic alkalosis

A

↑ blood pH and ↑ bicarbonate levels from vomiting or excessive base intake

20
Q

Respiratory acidosis causes

A

impaired lung function,
impaired ventilatory movement,
narcotic or barbituate overdose,
injury to brainstem

21
Q

Respiratory alkalosis causes

A

(least common)

strong emotions,
hypoxia (high altitude/asthma/pneumonia),
brain tumor or injury

22
Q

Metabolic acidosis causes

A
diarrhea, 
renal disease, 
untreated diabetes, 
starvation, 
excess alcohol, 
high ECF potassium
23
Q

Metabolic alkalosis causes

A

Vomiting/gastric suctioning,
diuretics,
excessive antacid intake,
excess aldosterone

24
Q

Normal range for pH

A

acid 7.35-7.45 alkaline

25
Q

Normal range for Pco2

A

alkaline 35-45 acid mmHg

26
Q

Normal range for HCO3-

A

acid 22-26 alkaline